| Compliance List |
5 CSR 25-400.025 Organization and Administration
Not Observed
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5 CSR 25-400.045 Licensing Process
Violation
| | Provider Comments |
Violation
The number of children was/were exceeded as evidenced by 12 children present. CI Barton explained to the provider that she needs to disenroll children immediately. The Provider stated she wasn’t sure what to tell the parents and the CI suggested she be honest with them.
Licensing Rule Reference
5 CSR 25-400.045 Licensing Process (18) states: The number and ages of children a family child care home is authorized to have in care at any one time shall be specified on the license and shall not be exceeded except as permitted within these rules.
Correction Required
The provider shall maintain compliance with the specifications on the license.
Correction Verification
Return Inspection
Compliance Date
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5 CSR 25-400.055 Annual Requirements
Not Observed
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5 CSR 25-400.085 Physical Requirements of the Family Day Care Home
Violation
| | Provider Comments |
Violation
All floors of a building used for child care were not approved by the State Fire Marshall as evidenced by child found on the lower level that has not been approved by fire inspector.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (2) (A) 1. states: Any floor of a home used for child care shall be approved by the State Fire Marshal or his/her designee.
Correction Required
All floors shall be approved by the State Fire Marshal.
Correction Verification
Return Inspection
Compliance Date
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Violation
Hazardous items as follows were accessible to children: 15+ prescription medications, rubbing alcohol, fingernail polish remover, adult purse, bleach, laundry detergent, multiple bottles of personal care items. The item(s) was/were located on the lower level unlicensed space where a child was unsupervised.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (J) states: All flammable liquids, matches, cleaning supplies, poisonous materials, medicines, alcoholic beverages, hazardous personal care items or other hazardous items shall be inaccessible to children.
Correction Required
Hazardous items shall be inaccessible to children.
Correction Verification
Return Inspection
Compliance Date
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Violation
Children were not restricted to approved space as evidenced by children had access to provider's bedroom and a 5 year old child was found in unlicensed space on the lower level where provider had put him. CI Barton informed the provider that the child found downstairs cannot stay downstairs and needs to come up with the rest of the children in the approved space. The Provider also stated that the child had been down there before.
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (E) states: Children shall have no access to areas not approved for child care.
Correction Required
Caregivers shall restrict children to approved space.
Correction Verification
Return Inspection
Compliance Date
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Violation
The premises were not safe and suitable as evidenced by light fixture/fan missing globe leaving two lightbulbs exposed (in approved childcare room).
Licensing Rule Reference
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.
Correction Verification
Submit Documentation
Compliance Date
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5 CSR 25-400.086 Fire Safety
Violation
| | Provider Comments |
Violation
The requirements for protective outlet covers were not met as evidenced by two outlets without electrical plates in bathroom.
Licensing Rule Reference
5 CSR 25-400.086 Fire Safety (11) (B) states: Protective covers or inserts for electrical receptacles shall be installed in all areas occupied by children.
Correction Required
The facility shall use protective outlet covers as required.
Correction Verification
Submit Documentation
Compliance Date
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5 CSR 25-400.090 Disaster and Emergency Preparedness
Not Observed
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5 CSR 25-400.095 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
An infant was observed sleeping in a/an 8-month-old infant found sleeping in a baby swing with a blanket. The provider denied the infant was asleep. Provider was told to remove the child and to place infant in approved sleeping equipment, the provider did not remove the child from the swing. Prior to the CI completing the inspection the child did wake up.
Licensing Rule Reference
5 CSR 25-400.095 Furniture, Equipment and Materials (1) (B) 2 G states: Sitting devices such as car safety seats, strollers, swings, infant carriers, infant slings, and other sitting devices shall not be used for sleep/nap time. Infants who fall asleep anywhere other than a crib, portable crib, or playpen shall be placed in the crib or playpen for the remainder of their sleep or nap time.
Correction Required
Infants shall only sleep in a crib, portable crib, or playpen.
Correction Verification
Return Inspection
Compliance Date
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5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel
Violation
| | Provider Comments |
Violation
Staff/child ratio requirements were not met as evidenced by 3 children under age two and 9 children over age two were cared for by 1 (Stephanie McCray) caregiver(s).
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (2) (A) states: A family child care home may be licensed for up to ten (10) children. The following staff/child ratios must be maintained at all times and shall not be exceeded except as permitted under these rules: 1 caregiver present, with up to 4 children, all may be under age two (2); 1 caregiver present, with 5-6 children, 3 children may be under age two (2); 1 caregiver present, with 7-10 children, 2 children may be under age two (2); 2 caregivers present, with up to 8 children, 8 children may be under age two (2); 2 caregivers present, with up to 10 children, 4 children may be under age two (2).
Correction Required
Staff/child ratios shall be maintained at all times.
Correction Verification
Return Inspection
Compliance Date
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Violation
A caregiver exhibited behavior that did not show the individual to be of good character and intent and qualified to provide care to children as evidenced by Stephanie McCray lied to CI Barton repeatedly (upon arrival, when doing the initial count, and when CI began to look at unlicensed space) stating only 10 children were present in the home. CI Barton counted 10 children then an 11th child (age 4) entered the room needing assistance with toileting. Provider stated there were no other children present in the home. CI Barton did a walk-through of the unlicensed space of the home and found a 12th child (age 5) in the basement/lower level of the home alone. The Provider said multiple times to CI Barton I'm sorry and I know I am in trouble now.
Licensing Rule Reference
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel (1) (D) states: Caregivers shall be of good character and intent and shall be qualified to provide care conducive to the welfare of children.
Correction Required
Caregivers shall meet child care personnel requirements.
Correction Verification
Submit Documentation
Compliance Date
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5 CSR 25-400.115 Child Care Family and Household
Not Observed
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5 CSR 25-400.125 Medical Examination Reports
Not Observed
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5 CSR 25-400.135 Admission Policies and Procedures
Not Observed
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5 CSR 25-400.145 Nighttime Care
Not Observed
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5 CSR 25-400.155 Overlap Care of Children
Not Observed
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5 CSR 25-400.165 Emergency School Closings
Not Observed
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5 CSR 25-400.175 Child Care Program
Violation
| | Provider Comments |
Violation
Child(ren) was left without competent adult supervision as evidenced by one 5 year-old-child was found on the lower level in unlicensed space without any adult supervision. CI Barton informed the provider that the child found downstairs cannot stay downstairs and needs to come up with the rest of the children in the approved space. The Provider also stated that the child had been down there before. The child came upstairs and joined the children upstairs prior to CI completing the inspection.
Licensing Rule Reference
5 CSR 25-400.175 Child Care Program (1) (A) 1 states: Child care providers shall not leave any child without competent adult supervision.
Correction Required
The facility shall provide competent adult supervision for each child as required.
Correction Verification
Return Inspection
Compliance Date
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5 CSR 25-400.185 Health Care
Not Observed
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5 CSR 25-400.190 Nutrition and Food Service
Not Observed
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5 CSR 25-400.200 Transportation and Field Trips
Not Observed
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5 CSR 25-400.210 Records and Reports
Not Observed
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5 CSR 25-600.020 General Requirements
Not Observed
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5 CSR 25-600.040 Background Screening Findings
Not Observed
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RSMo 210.115. Reports of abuse, neglect, and under age eighteen deaths - persons required to report - supervisors and administrators not to impede reporting - deaths required to be reported to the division or child fatality review panel, when - report made to another state, when.
Not Observed
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RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Not Observed
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RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized.
Compliance
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